Outcomes of Surgical Revascularization in Trans-Atlantic Society Consensus (TASC II) Type C & D Aortoiliac Occlusive Disease

Journal Title: International Journal of Surgery & Surgical Techniques - Year 2024, Vol 8, Issue 2

Abstract

Introduction: Aortoiliac occlusive disease is a disabling illness. This study was conducted on the patients of Trans-Atlantic Society Consensus (TASC II) type C & D aortoiliac occlusive disease. Open surgical revascularization in the form of aortofemoral and aorto-bifemoral bypass grafting was done and the demography of patients of AIOD, the efficacy and outcomes of open surgical bypass in the patients of TASC II, type C & D aortoiliac occlusive disease was studied. Methods: in this study, total of 52 patients were revascularized and were observed for various parameters thoroughly throughout the course of diagnosis, preoperative, intra-operative and postoperative phase and until 6 months of follow-up. The demographics, clinical characteristics of the patients, co-morbid conditions, type of aorto-iliac occlusive disease (AIOD), the surgical procedure conducted and the outcomes of surgery in terms of limb salvageability, healing of ulcer, relief of claudication and graft patency were observed. Results: 50 (96.16%) out of 52 patients were males, with a mean age of presentation 55.01 + 8.58 years. 47 (90.38%) were smokers, 43 (82.69%) had hypertension, 17 (32.69%) had diabetes, 11 (21.15%) had CAD, 12 (23.07%) had COPD, 22 (42.30%) had type C and 30 (57.69%) patients had type D disease. Aorto-bifemoral bypass grafting was done in 42 (80.76%) . Mean duration of ICU stay was 1.9 days, 6 (11.53%) patients expired postoperatively. The graft patency and limb salvageability were 100% and 96.15% respectively during 1st, 3rd and 6th months of follow-up with complete healing of ulcers in 21 (91.30%) patients by the end of 6 months. Conclusion: Surgical revascularization is an important, high yielding, life changing intervention which serves as a boon for the patients with extensive or advanced aortoiliac disease. The surgery has excellent outcomes in terms of graft patency as well as limb salvageability.

Authors and Affiliations

Arya H*, Aslam M and Haseen MA

Keywords

Related Articles

Effect of Hirudotherapy in Bakers Cyst

Bakers cyst is also known as popliteal cyst. There is collection of fluid behind the knee joint & is due to swelling of popliteal bursa. This type of the abnormality usually does not show any symptoms. However in chronic...

Outcomes of Surgical Revascularization in Trans-Atlantic Society Consensus (TASC II) Type C & D Aortoiliac Occlusive Disease

Introduction: Aortoiliac occlusive disease is a disabling illness. This study was conducted on the patients of Trans-Atlantic Society Consensus (TASC II) type C & D aortoiliac occlusive disease. Open surgical revascular...

Direct Sinus Lift and Immediate Loading of Dental Implant– Clinical Reports and Preliminary Radiographic Results

Edentulous posterior maxilla is the most challenging area for the implant placement. Because of increase pneumatization of sinus in this area available bone height is inadequate for primary stability of implants. Sinus...

Gastric Lipoma Presenting as a Case of Gastric Outlet Obstruction and Anaemia

Gastric lipomas are relatively rare tumours. They account for 5% of all GIT lipomas and 3% of all benign tumours of stomach. They are difficult to diagnose since the lipoma is located submucosally and may not be clearly...

Double Whammy: Severe Necrotizing Soft Tissue Infection in the Setting of Extraperitoneal Bladder Injury from Prolonged Urinary Bladder Catheterization

Urinary bladder injury due to prolonged indwelling Foley catheter placement is reportedly rare but potentially lethal complication. Review of literature showed most of the urinary bladder injuries reported was intraperi...

Download PDF file
  • EP ID EP748856
  • DOI 10.23880/ijsst-16000221
  • Views 71
  • Downloads 1

How To Cite

Arya H*, Aslam M and Haseen MA (2024). Outcomes of Surgical Revascularization in Trans-Atlantic Society Consensus (TASC II) Type C & D Aortoiliac Occlusive Disease. International Journal of Surgery & Surgical Techniques, 8(2), -. https://www.europub.co.uk/articles/-A-748856